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DATA SERVICE RADIOLOGY NPI 1164425690


NPI Information

NPI: 1164425690
Provider Name: DATA SERVICE RADIOLOGY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
95 E FAIRWAY DR
COVINGTON, LA
ZIP 70433
Phone: (985) 867-3800
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DATA SERVICE RADIOLOGY is a diagnostic radiology radiology in Covington, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DATA SERVICE RADIOLOGY NPI is 1164425690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

95 E FAIRWAY DR
COVINGTON, LA
ZIP 70433-500
Phone: (985) 867-3800

The provider's authorized official is Roy A Kite .
The authorized official title is Owner and has the following contact phone number (985) 892-3225.

The enumeration date for this NPI number is 5/30/2005 and was last updated on 10/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447544MEDICAIDLOUISIANA
257808MEDICARE PINLOUISIANA
300050512MEDICAIDMISSISSIPPI
4CU0348MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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